Lucia’s Patient Story | Diabetes Management

By: Living with Type 2 Diabetes

[TITLE CARD: Type 2 diabetes affects millions of us This is Lucia’s story] April 7th, 2014. I remember the day. I was definitely fearful and nervous. I knew there was diabetes in my family, and it was not a pretty picture. The future didn't look bright at all. When I was at the doctor's office, one of the things that really angered me is that he said to me, "Lucia, I need you to stop eating fast food. I need you to stop drinking sodas, and I need you to stop eating candy bars." [SUPER: INVOKANA® (canagliflozin) is a prescription medicine used along with diet and exercise to lower blood sugar in adults with type 2 diabetes.] And I said to him, "Well, I don't do any of those.” One of the changes that I started to do is that I really requested that my doctor send me to a nutritionist. The nutritionist suggested that I document everything I eat.

And that helped. That raised my awareness level of what’s the portion I was having. One of the things I’m also really grateful for is INVOKANA®. Because the CarePath network, the website, gave me a wealth of information that I don't think I would have found on my own.

[SUPER: Individual results may vary. Please see www.INVOKANA.com for Important Safety Information.] VO: The most common side effects of INVOKANA® include genital yeast infections, urinary tract infection, and changes in urination, including urgent need to urinate more often, in larger amounts, or at night. [SUPER: The most common side effects of INVOKANA® include genital yeast infections, urinary tract infection, and changes in urination, including urgent need to urinate more often, in larger amounts, or at night.] CarePath provided me the tools that I needed to inspire me to create more recipes and to get recipes off of it.

And it also gave me some ideas of how to incorporate exercise in my life, how to manage my life better. How to de-stress, so it gave me a lot of tools that I needed, that I was lacking. I always say that wellness starts with. . . It starts with you, first of all, you and your commitment to want that change. But if you're given the tools of medication support.

Lucia’s Patient Story | Diabetes Management

It's going to be a great journey for you. And you can see the results. I have a motto, and it's live, love, laugh, and travel.

And I'm fulfilling that motto. [TITLE CARD: I’m Lucia. And I’m in.] WHAT IS INVOKANA®? INVOKANA® is a prescription medicine used along with diet and exercise to lower blood sugar in adults with type 2 diabetes. INVOKANA® is not for people with type 1 diabetes or with diabetic ketoacidosis (increased ketones in blood or urine).

It is not known if INVOKANA® is safe and effective in children under 18 years of age. IMPORTANT SAFETY INFORMATION INVOKANA® can cause important side effects, including: * Dehydration (the loss of body water and salt), which may cause you to feel dizzy, faint, lightheaded, or weak, especially when you stand up (orthostatic hypotension). You may be at higher risk of dehydration if you have low blood pressure, take medicines to lower your blood pressure (including diuretics [water pills]), are on a low sodium (salt) diet, have kidney problems, or are 65 years of age or older * Vaginal yeast infection. Women who take INVOKANA® may get vaginal yeast infections. Symptoms include: vaginal odor, white or yellowish vaginal discharge (discharge may be lumpy or look like cottage cheese), or vaginal itching * Yeast infection of the penis (balanitis or balanoposthitis).

Men who take INVOKANA® may get a yeast infection of the skin around the penis. Symptoms include: redness, itching, or swelling of the penis; rash of the penis; foul-smelling discharge from the penis; or pain in the skin around penis Talk to your doctor about what to do if you get symptoms of a yeast infection of the vagina or penis. Do not take INVOKANA® if you: * are allergic to canagliflozin or any of the ingredients in INVOKANA®. Symptoms of allergic reaction may include: rash; raised red patches on your skin (hives); or swelling of the face, lips, tongue, and throat that may cause difficulty in breathing or swallowing * have severe kidney problems or are on dialysis Before you take INVOKANA®, tell your doctor if you have kidney problems, liver problems, are on a low sodium (salt) diet, ever had an allergic reaction to INVOKANA®, or have other medical conditions. Tell your doctor if you are or plan to become pregnant, are breastfeeding, or plan to breastfeed. It is not known if INVOKANA® will harm your unborn baby. It is also not known if INVOKANA® passes into your breast milk. Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements.

Especially tell your doctor if you take diuretics (water pills), rifampin (used to treat or prevent tuberculosis), phenytoin or phenobarbital (used to control seizures), ritonavir (Norvir®, Kaletra®, Lopinavir®—used to treat HIV infection), or digoxin (Lanoxin®—used to treat heart problems). Possible Side Effects of INVOKANA® INVOKANA® may cause serious side effects, including: kidney problems, a high amount of potassium in your blood (hyperkalemia), or low blood sugar (hypoglycemia). If you take INVOKANA® with another medicine that can cause low blood sugar, such as a sulfonylurea or insulin, your risk of getting low blood sugar is higher. The dose of your sulfonylurea medicine or insulin may need to be lowered while you take INVOKANA®. Signs and symptoms of low blood sugar may include: headache, drowsiness, weakness, dizziness, confusion, irritability, hunger, fast heartbeat, sweating, shaking, or feeling jittery. Serious allergic reaction. If you have any symptoms of a serious allergic reaction, stop taking INVOKANA® and call your doctor right away or go to the nearest hospital emergency room.

The most common side effects of INVOKANA® include: vaginal yeast infections and yeast infections of the penis; urinary tract infection; or changes in urination, including urgent need to urinate more often, in larger amounts, or at night. Tell your doctor if you have any side effect that bothers you or that does not go away. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

You may also report side effects to Janssen Scientific Affairs, LLC at 1-800-526-7736. Please see full Product Information and Medication Guide on INVOKANA.com. Canagliflozin is licensed from Mitsubishi Tanabe Pharma Corporation. Trademarks are those of their respective owners. 021916-140925.

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